| Entity Name: | LIFESKILL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 04 Mar 2002 (23 years ago) |
| Document Number: | P02000024003 |
| FEI/EIN Number | 020534553 |
| Address: | 12515 ORANGE DRIVE, DAVIE, FL, 33330, US |
| Mail Address: | 12515 ORANGE DRIVE, DAVIE, FL, 33330, US |
| ZIP code: | 33330 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740393099 | 2006-08-17 | 2020-08-22 | 55 WESTON RD, SUITE 103, WESTON, FL, 333261169, US | 55 WESTON RD, SUITE 103, WESTON, FL, 333261169, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 954-659-0031 |
| Fax | 9546590870 |
Authorized person
| Name | MRS. CHRISTINA MARIE DUSKIN |
| Role | PRESIDENT |
| Phone | 9546590031 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT 2758 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS PROVIDER# FOR FLA |
| Number | Z012E |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DUSKIN CHRISTINA M | Agent | 12515 ORANGE DRIVE, DAVIE, FL, 33330 |
| Name | Role | Address |
|---|---|---|
| DUSKIN CHRISTINA M | Director | 12515 ORANGE DRIVE, DAVIE, FL, 33330 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2020-08-28 | 12515 ORANGE DRIVE, SUITE 814, DAVIE, FL 33330 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-07-28 | 12515 ORANGE DRIVE, SUITE 814, DAVIE, FL 33330 | No data |
| CHANGE OF MAILING ADDRESS | 2020-07-28 | 12515 ORANGE DRIVE, SUITE 814, DAVIE, FL 33330 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-02-03 |
| AMENDED ANNUAL REPORT | 2020-08-28 |
| ANNUAL REPORT | 2020-05-23 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-02-07 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-03-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
